Ronald Bruce Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lodi, Wisconsin. His current practice location is
336 Lodi St, Lodi, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 592-2080.
Ronald Bruce Johnson is licensed to practice in Wisconsin (license number 2177-057) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598701906.
Healthcare Provider's Profile
| Full Name | Ronald Bruce Johnson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 336 Lodi St, Lodi, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ronald Bruce Johnson attended and graduated from in
NPI Data:
- NPI Number: 1598701906
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ronald Bruce Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598701906 | NPI | - | NPPES |
| 39127800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2177-057 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald Bruce Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ronald Bruce Johnson, PHD
336 Lodi St,
Lodi, WI 53555-1418
Ph: (608) 592-2080 | Ronald Bruce Johnson, PHD
336 Lodi St,
Lodi, WI 53555-1418
Ph: (608) 592-2080 |
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